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Individual

JAMES DAVID BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9220 BASS LAKE RD STE 350, NEW HOPE, MN 55428-3095
(763) 208-9545
Mailing address
7710 PENN AVE S APT 126, RICHFIELD, MN 55423-3697

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11646
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11646
MINNESOTA BOARD OF PHYSICAL THERAPY
MN
Enumeration date
08/16/2019
Last updated
08/28/2019
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